ObjectiveThis study aims to evaluate the results of intramedullary nail treatment in surgical treatment of adult displaced radius and ulna diaphyseal fractures.Patients and methodsEighteen patients (36 forearm fractures) who underwent intramedullary nail treatment due to radius and ulna fractures were retrospectively analyzed. Adult patients with displaced forearm double fractures were included in this study. Patients with open physeal lines, pathological fractures, Monteggia and Galeazzi fractures, distal radioulnar joint instability, bilateral fractures and bone loss were excluded.ResultsThirteen patients were male (72.2 %) and five were female (27.8 %). Average age of the patients was 35.16 (18–63). Twelve patients (66.7 %) suffered right and six patients (33.3 %) left forearm fractures. Average follow-up period was 77.7 (55–162) weeks, average bleeding amount was 51.11 (15–100) ml, average time to bone union was 11.3 (8–20) weeks, average surgery time was 61.94 (45–80) min and average fluoroscopy time was approximately 2 (1–5) min. According to Grace-Eversman criteria, results were excellent in 14 (77.8 %) patients, good in 3 (16.8 %) and acceptable in 1 (5.6 %). Average DASH questionnaire score was 15.15 (4–38.8). There was no iatrogenic vascular, neural and bone injury during surgery. There was late rupture of extensor pollicis longus tendon in one patient, 4 months after surgery.ConclusionIntramedullary fixation method has advantages, such as closed application, short surgery period, good cosmetic results and early return to movement. We think intramedullary fixation method may be used as an alternative treatment method to plate osteosynthesis in surgical treatment of radius and ulna diaphyseal fractures.
The purpose of this review was to demonstrate magnetic resonance (MR) arthrography findings of anatomy, variants, and pathologic conditions of the superior glenohumeral ligament (SGHL). This review also demonstrates the applicability of a new MR arthrography sequence in the anterosuperior portion of the glenohumeral joint. The SGHL is a very important anatomical structure in the rotator interval that is responsible for stabilizing the long head of the biceps tendon. Therefore, a torn SGHL can result in pain and instability. Observation of the SGHL is difficult when using conventional MR imaging, because the ligament may be poorly visualized. Shoulder MR arthrography is the most accurately established imaging technique for identifying pathologies of the SGHL and associated structures. The use of three dimensional (3D) volumetric interpolated breath-hold examination (VIBE) sequences produces thinner image slices and enables a higher in-plane resolution than conventional MR arthrography sequences. Therefore, shoulder MR arthrography using 3D VIBE sequences may contribute to evaluating of the smaller intraarticular structures such as the SGHL.
BACKGROUND:The aim of the present study was to evaluate functional and cosmetic outcomes of adult patients who underwent intramedullary nailing with newly designed intramedullary radius nails for isolated radius diaphyseal fractures.
Multiple pterygium syndrome (MPS) is a syndrome that is characterized abnormal face, short length and skin pterygiums on some body legions (servical, antecubital, popliteal, interdigital and on neck). It is also called as Pterygium Colli syndrome, Escobar syndrome or Pterygium syndrome. Escobar (multyple pterygium) syndrome is a rare syndrome. Intrauterin growth reterdation, abnormal face, wide-spead pterygiums that resulted in joint contractures, ptosis, chryptoorchidism, patellar dysplasia and foot deformities are seen on this syndrome. Primarly autosomal resesive crossing are observed; also autosomal dominant and X-linked crossing. This case were presented as it has components of Escobar syndrome and Isolated Patellar Aplasia syndrome in same time.Key Words: Escobar syndrome, Isolated Patellar Aplasia syndrome, Pterygium syndrome
ÖzetMultipl Pterjium Sendromu anormal yüz, kısa boy, vücudun bazı yerlerinde (servikal, antekübital, popliteal, parmaklararası) deri katlantıları ile karakterize bir sendromdur. Ayrıca Pterjium Kolli Sendromu, Escobar Sendromu veya Pterjium Sendromu diye adlandırılır. Escobar (Multipl Pterjium) Sendromu nadir bir sendromdur. Bu sendromda intrauterin gelişme geriliği, anaormal yüz, kontraktürler sonuçlanan geniş-yayılımlı pterjiumlar, pitosis, kriptoorşidizm, patellar displazi ve ayak deformiteleri görülür. Primer olarak otozomal resesif geçiş olmak üzere otozomal dominant ve X kromozomuna bağlı kalıtım görülür. Bu vaka Escobar ve Konjenital Patellar Sendromun komponentlerine aynı anda sahip olduğu için sunulmaktadır.
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